四肢血压测量诊断外周动脉疾病的价值
摘要
<正>外周动脉疾病(peripheral arterial disease,PAD)是指发生在冠状动脉以外的主动脉及其分支管腔的狭窄、闭塞。既往,PAD通常用于下肢血管疾病,但现在的内涵更为广泛~[1-3]。PAD的病理基础主要为动脉粥样硬化,其他如多发性大动脉炎、结缔组织病等也常见。目前,PAD发病率正逐年提高~[1],其危害性也十分显著。研究表明,PAD是心脑血管病及全因死亡的独立危险因素,PAD患者患心肌梗死、脑卒中及死亡的风险是正常人
引文
[1] Fowkes FG, Rudan D, Rudan I, et al. Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis[J].Lancet,2013,382(9901):1329-1340.
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[4] Hajibandeh S, Shah S, Child E, et al. Prognostic significance of ankle brachial pressure index: a systematic review and meta-analysis[J].Vascular,2017,25(2):208-224.
[5] Faghihimani E, Darakhshandeh A, Feizi A, et al. Evaluation of peripheral arterial disease in prediabetes[J].Int J Prev Med,2014,5(9):1099-1105.
[6] Jeevanantham V, Chehab B, Austria E, et al. Comparison of accuracy of two different methods to determine ankle-brachial index to predict peripheral arterial disease severity confirmed by angiography[J].Am J Cardiol,2014,114(7):1105-1110.
[7] 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华高血压杂志,2011,19(8):701-743.
[8] Verberk WJ, Kessels AG,Thien T.Blood pressure measurement method and inter-arm differences: a meta-analysis[J].Am J Hypertens,2011,24(11):1201-1020.
[9] 孙麒涵,郭宏.踝间血压差研究进展[J].中华高血压杂志,2017,25(9):831-833.
[10] Hirsch AT, Haskal ZJ, Hertzer NR, et al. ACC /AHA 2005 guide-lines for the management of patients with peripheral arterial disease lower extremity, renal,mesenteric, and abdominal aortic:utive summary[J]. J Am Coll Cardiol,2006,47(6):1239-1312.
[11] Niazi K, Khan TH, Easley KA. Diagnostic utility of the two methods of ankle brachial index in the detection of peripheral arterial disease of lower extremities[J].Catheter Cardiovasc Interv,2006,68(5):788-792.
[12] Ichihashi S, Hashimoto T, Iwakoshi S, et al. Validation study of automated oscillometric measurement of the ankle-brachial index for lower arterial occlusive disease by comparison with computed tomography angiography[J].Hypertens Res,2014,37(6):591-594.
[13] Kollias A,Xilomenos A,Protogerou A,et al. Automated determination of the ankle-brachial index using an oscillometric blood pressure monitor: validation vs.Doppler measurement and cardiovascular risk factor[J]. Hypertens Res,2011,34(7):825-830.
[14] Osler W. Modern Medicine[M].Philadelphia: Lea Febiger,1915,498.
[15] 苏海.四肢血压差异的价值和临床应用[J].中华高血压杂志,2017,25(5):407-409.
[16] 杨丽,于照祥,李贞,等. 门诊无心血管病就诊者的臂间血压差异及其影响因素[J].中华高血压杂志,2016,24(4):380-382.
[17] 周月英,梁叶青,刘景波等.社区老年人群踝间血压差异的检出率调查[J].中华老年心脑血管病杂志,2014,16(1):39-41.
[18] Gong Y, Cao KW, Xu JS, et al. Valuation of normal range of ankle blood pressure in subjects with normal arm blood pressure[J].PLoS One,2015,10(6):e0122248.
[19] Sheng CS, Liu M, Zeng WF, et al. Four-limb blood pressure as predictors of mortality in elderly Chinese[J].Hypertension,2013,61(6):1155-1160.
[20] 刘芳,张艳丽,唐泓源.重症脑损伤患者肱动脉与足背动脉血压值的对比性研究[J].中华护理杂志,2010,45(3):230-232.
[21] Beckman JA, Higgins CO. Automated oscillometric determination of the ankle-brachial index provides accuracy necessary for office practice[J].Hypertension,2006,47(1):35-38.
[22] Herráiz-Adillo á, Martínez-Vizcaíno V, Cavero-Redondo I, et al. Diagnostic accuracy study of an oscillometric ankle-brachial index in peripheral arterial disease: the influence of oscillometric errors and calcified legs[J].PLoS One,2016,11:e0167408.
[23] Herráiz-Adillo á, Cavero-Redondo I, lvarez-Bueno C, et al. The accuracy of an oscillometric ankle-brachial index in the diagnosis of lower limb peripheral arterial disease: A systematic review and meta-analysis[J].Int J Clin Pract,2017,71(9).Doi:10.1111/ijcp.12994.
[24] Doobay AV. Sensitivity and specificity of the ankle-brachial index to predict future cardiovascular outcomes: a systematic review[J].Arterioscler Thromb Vasc Biol,2005,25(7):1463-1469.
[25] Sikkink CJ, van Asten WN, van 't Hof MA, et al.Decreased ankle/brachial indices in relation to morbidity and mortality in patients with peripheral arterial disease[J].Vasc Med,1997,2(3):169-173.
[26] 李宪凯,韩扬,徐大春,等.踝臂指数与外周动脉疾病死亡率之间的关系[J].同济大学学报(医学版),2015,36(2):74-80.
[27] Mohler ER. Peripheral arterial disease[J].Arch Intern Med,2003,163:2306.
[28] Aboyans V, Criqui MH, Abraham P, et al. Measurement and interpretation of the ankle-brachial index: a scientific statement from the American Heart Association[J].Circulation,2012,126(24):2890-2909.
[29] Carter SA. Role of pressure measurements in vascular disease[M]//Bernstein EF. Noninvasive diagnostic techniques in vascular disease.St. Louis, MO: Mosby,1985:533-539.
[30] 乔建文. 臂间血压差异提示锁骨下动脉狭窄4例报告[J].心脑血管病防治,2013,13(4):327-328.
[31] English JA, Carell ES, Guidera SA, et al. Angiographic prevalence and clinical predictors of left subclavian stenosis in patients undergoing diagnostic cardiac catheterization[J].Cathet Cardiovasc Intervent,2001,54(1):8-11.
[32] Aboyans V, Criqui MH, McDermott MM, et al. The vital prognosis of subclavian stenosis[J].J Am Coll Cardiol,2007,49(14):1540-1545.
[33] Clark CE, Campbell JL, Powell RJ, et al. The inter-arm blood pressure difference and peripheral vascular disease: cross-sectional study[J].Fam Pract,2007,24(5):420-426.
[34] 钟海江. 四肢血压异常变化伴胸痛在早期诊断主动脉夹层中的意义[J].现代实用医学,2007,19(7):560-561.
[35] Um SW, Ohle R. Bilateral blood pressure differential as a clinical marker for acute aortic dissection in the emergency department[J].Emerg Med J,2018,35(9):556-558.
[36] Singh S, Sethi A, Singh M, et al. Simultaneously measured inter-arm and inter-leg systolic blood pressure differences and cardiovascular risk stratification: a systemic review and meta-analysis[J].J Am Soc Hypertens,2015,9(8):640 650.
[37] Herráiz-Adillo á, Soriano-Cano A, Martínez-Hortelano JA, et al. Simultaneous inter-arm and inter-leg systolic blood pressure differences to diagnose peripheral artery disease: a diagnostic accuracy study[J].Blood Press,2017,11(10):1-8.
[38] Chen SC, Chang JM, Tsai YC, et al. Association of interleg BP difference with overall and cardiovascular mortality in hemodialysis[J].Clin J Am Soc Nephrol,2012,7(10):1646-1653.
[39] Shearman CP. Ankle blood pressure measured by automatic oscillotonometry: a comparison with Doppler pressure measurements[J].Ann R Coll Surg Engl,1988,70(4):257.
[40] 冯天捷,蒋雄京,吴海英,等.四肢血压测量对主动脉狭窄疾病的辅助诊断[J].岭南心血管病杂志,2013,增刊1:230.
[2] Criqui MH, Langer RD, Fronek A, et al. Mortality over a period of 10 years in patients with peripheral arterial disease[J].N Engl J Med,1992,326(6):381-386.
[3] Hirsch AT, Duval S. The global pandemic of peripheral artery disease[J].Lancet,2013,382(13):1312-1314.
[4] Hajibandeh S, Shah S, Child E, et al. Prognostic significance of ankle brachial pressure index: a systematic review and meta-analysis[J].Vascular,2017,25(2):208-224.
[5] Faghihimani E, Darakhshandeh A, Feizi A, et al. Evaluation of peripheral arterial disease in prediabetes[J].Int J Prev Med,2014,5(9):1099-1105.
[6] Jeevanantham V, Chehab B, Austria E, et al. Comparison of accuracy of two different methods to determine ankle-brachial index to predict peripheral arterial disease severity confirmed by angiography[J].Am J Cardiol,2014,114(7):1105-1110.
[7] 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华高血压杂志,2011,19(8):701-743.
[8] Verberk WJ, Kessels AG,Thien T.Blood pressure measurement method and inter-arm differences: a meta-analysis[J].Am J Hypertens,2011,24(11):1201-1020.
[9] 孙麒涵,郭宏.踝间血压差研究进展[J].中华高血压杂志,2017,25(9):831-833.
[10] Hirsch AT, Haskal ZJ, Hertzer NR, et al. ACC /AHA 2005 guide-lines for the management of patients with peripheral arterial disease lower extremity, renal,mesenteric, and abdominal aortic:utive summary[J]. J Am Coll Cardiol,2006,47(6):1239-1312.
[11] Niazi K, Khan TH, Easley KA. Diagnostic utility of the two methods of ankle brachial index in the detection of peripheral arterial disease of lower extremities[J].Catheter Cardiovasc Interv,2006,68(5):788-792.
[12] Ichihashi S, Hashimoto T, Iwakoshi S, et al. Validation study of automated oscillometric measurement of the ankle-brachial index for lower arterial occlusive disease by comparison with computed tomography angiography[J].Hypertens Res,2014,37(6):591-594.
[13] Kollias A,Xilomenos A,Protogerou A,et al. Automated determination of the ankle-brachial index using an oscillometric blood pressure monitor: validation vs.Doppler measurement and cardiovascular risk factor[J]. Hypertens Res,2011,34(7):825-830.
[14] Osler W. Modern Medicine[M].Philadelphia: Lea Febiger,1915,498.
[15] 苏海.四肢血压差异的价值和临床应用[J].中华高血压杂志,2017,25(5):407-409.
[16] 杨丽,于照祥,李贞,等. 门诊无心血管病就诊者的臂间血压差异及其影响因素[J].中华高血压杂志,2016,24(4):380-382.
[17] 周月英,梁叶青,刘景波等.社区老年人群踝间血压差异的检出率调查[J].中华老年心脑血管病杂志,2014,16(1):39-41.
[18] Gong Y, Cao KW, Xu JS, et al. Valuation of normal range of ankle blood pressure in subjects with normal arm blood pressure[J].PLoS One,2015,10(6):e0122248.
[19] Sheng CS, Liu M, Zeng WF, et al. Four-limb blood pressure as predictors of mortality in elderly Chinese[J].Hypertension,2013,61(6):1155-1160.
[20] 刘芳,张艳丽,唐泓源.重症脑损伤患者肱动脉与足背动脉血压值的对比性研究[J].中华护理杂志,2010,45(3):230-232.
[21] Beckman JA, Higgins CO. Automated oscillometric determination of the ankle-brachial index provides accuracy necessary for office practice[J].Hypertension,2006,47(1):35-38.
[22] Herráiz-Adillo á, Martínez-Vizcaíno V, Cavero-Redondo I, et al. Diagnostic accuracy study of an oscillometric ankle-brachial index in peripheral arterial disease: the influence of oscillometric errors and calcified legs[J].PLoS One,2016,11:e0167408.
[23] Herráiz-Adillo á, Cavero-Redondo I, lvarez-Bueno C, et al. The accuracy of an oscillometric ankle-brachial index in the diagnosis of lower limb peripheral arterial disease: A systematic review and meta-analysis[J].Int J Clin Pract,2017,71(9).Doi:10.1111/ijcp.12994.
[24] Doobay AV. Sensitivity and specificity of the ankle-brachial index to predict future cardiovascular outcomes: a systematic review[J].Arterioscler Thromb Vasc Biol,2005,25(7):1463-1469.
[25] Sikkink CJ, van Asten WN, van 't Hof MA, et al.Decreased ankle/brachial indices in relation to morbidity and mortality in patients with peripheral arterial disease[J].Vasc Med,1997,2(3):169-173.
[26] 李宪凯,韩扬,徐大春,等.踝臂指数与外周动脉疾病死亡率之间的关系[J].同济大学学报(医学版),2015,36(2):74-80.
[27] Mohler ER. Peripheral arterial disease[J].Arch Intern Med,2003,163:2306.
[28] Aboyans V, Criqui MH, Abraham P, et al. Measurement and interpretation of the ankle-brachial index: a scientific statement from the American Heart Association[J].Circulation,2012,126(24):2890-2909.
[29] Carter SA. Role of pressure measurements in vascular disease[M]//Bernstein EF. Noninvasive diagnostic techniques in vascular disease.St. Louis, MO: Mosby,1985:533-539.
[30] 乔建文. 臂间血压差异提示锁骨下动脉狭窄4例报告[J].心脑血管病防治,2013,13(4):327-328.
[31] English JA, Carell ES, Guidera SA, et al. Angiographic prevalence and clinical predictors of left subclavian stenosis in patients undergoing diagnostic cardiac catheterization[J].Cathet Cardiovasc Intervent,2001,54(1):8-11.
[32] Aboyans V, Criqui MH, McDermott MM, et al. The vital prognosis of subclavian stenosis[J].J Am Coll Cardiol,2007,49(14):1540-1545.
[33] Clark CE, Campbell JL, Powell RJ, et al. The inter-arm blood pressure difference and peripheral vascular disease: cross-sectional study[J].Fam Pract,2007,24(5):420-426.
[34] 钟海江. 四肢血压异常变化伴胸痛在早期诊断主动脉夹层中的意义[J].现代实用医学,2007,19(7):560-561.
[35] Um SW, Ohle R. Bilateral blood pressure differential as a clinical marker for acute aortic dissection in the emergency department[J].Emerg Med J,2018,35(9):556-558.
[36] Singh S, Sethi A, Singh M, et al. Simultaneously measured inter-arm and inter-leg systolic blood pressure differences and cardiovascular risk stratification: a systemic review and meta-analysis[J].J Am Soc Hypertens,2015,9(8):640 650.
[37] Herráiz-Adillo á, Soriano-Cano A, Martínez-Hortelano JA, et al. Simultaneous inter-arm and inter-leg systolic blood pressure differences to diagnose peripheral artery disease: a diagnostic accuracy study[J].Blood Press,2017,11(10):1-8.
[38] Chen SC, Chang JM, Tsai YC, et al. Association of interleg BP difference with overall and cardiovascular mortality in hemodialysis[J].Clin J Am Soc Nephrol,2012,7(10):1646-1653.
[39] Shearman CP. Ankle blood pressure measured by automatic oscillotonometry: a comparison with Doppler pressure measurements[J].Ann R Coll Surg Engl,1988,70(4):257.
[40] 冯天捷,蒋雄京,吴海英,等.四肢血压测量对主动脉狭窄疾病的辅助诊断[J].岭南心血管病杂志,2013,增刊1:230.